Organization
LONE STAR HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIM NASIR (MEMBER)
(972) 795-3422
Entity
Organization
Contact information
Practice address
2626 S LOOP W STE 320, HOUSTON, TX 77054-2649
(281) 884-9989
(281) 688-4208
Mailing address
43 NORTH ST, FOXBORO, MA 02035-1353
(972) 795-3422
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/22/2019
Last updated
11/22/2019
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